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Anthem Blue Cross settles with doctor, avoids second jury award

April 11, 2013|By Chad Terhune
  • Anthem Blue Cross, a unit of health insurance giant WellPoint Inc., has agreed to a settlement with a Porter Ranch doctor who contended that the company retaliated against him.
Anthem Blue Cross, a unit of health insurance giant WellPoint Inc., has… (Darron Cummings / Associated…)

Insurance giant Anthem Blue Cross has reached a confidential settlement with a Porter Ranch doctor who had already won $3.8 million in compensatory damages from the company at a trial this week.

The agreement reached late Thursday keeps a Los Angeles jury from levying additional punitive damages against the company Friday, when the trial was scheduled to resume.

The 12-person panel ruled Monday that Anthem had improperly barred Jeffrey Nordella, an urgent-care and family-practice doctor, from the company's preferred-provider network in 2010.

Nordella, 58, testified in Los Angeles County Superior Court that Anthem, a unit of insurance giant WellPoint Inc., had retaliated against him for his longtime advocacy on behalf of patients.

Neither Nordella nor Anthem would discuss the terms of the settlement.

"I feel very happy," Nordella said. "I'm very appreciative of the jury's work on the case. I am hoping this will be the cornerstone of reestablishing the physician-patient relationship without the third-party insurance company coming in between."

Darrel Ng, a spokesman for the company, said, "Dr. Nordella and Anthem Blue Cross have agreed to confidentially resolve any and all disputes between them.”

The jury awarded Nordella $3.8 million for lost earnings and other income because the exclusion limited how many patients he saw as medical director of Porter Ranch Quality Care, a walk-in clinic.

Insurers are increasingly pruning their lists of medical providers and pitching smaller networks to employers and consumers as a more affordable insurance option, albeit with fewer choices.

ALSO:

L.A. jury sides with doctor in Anthem Blue Cross case

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